Smoking patterns of Asian-American youth in California and their relationship with acculturation

Xg. Chen et al., Smoking patterns of Asian-American youth in California and their relationship with acculturation, J ADOLES H, 24(5), 1999, pp. 321-328
Citations number
Categorie Soggetti
Public Health & Health Care Science",Pediatrics
Journal title
ISSN journal
1054-139X → ACNP
Year of publication
321 - 328
SICI code
Purpose: To examine patterns of smoking behavior among subgroups of Asian-A merican youth in California and their relationship with acculturation statu s. Methods: Data were from the 1990-1996 California Tobacco Survey and the Cal ifornia Youth Tobacco Survey, which assessed smoking-related attitudes and behaviors among California youth in grades 7-12. Among the 20,482 responden ts, 1,810 were Asian-Americans. Variables assessed included lifetime smokin g prevalence, 30-day smoking prevalence, and age of smoking onset. Accultur ation status was assessed with measures of English usage, language spoken a t home, and age at immigration to the United States. Results: Of the 1,810 Asian-Americans (52% male), 19% were Chinese, 33% Fil ipino, 8% Japanese, 13% Korean, and 26% other Asian-Americans. Lifetime smo king prevalence was 16.1% for Asians and 26.1% for non-Asians. The 30-day s moking rate was 6.9% for Asians and 14.2% for non-Asians. Subgroup-specific analyses revealed differences in lifetime smoking prevalence (18.9% for Fi lipinos, 17.3% for Japanese, 16.3% for Koreans, 11.0% for Chinese, and 13.7 % for other Asian-Americans) and 30-day smoking rate (8.6% for Filipinos, 8 .3% for Koreans, 7.4% for Japanese, 2.8% for Chinese, and 7.2% for other As ian-Americans). Gender differences in lifetime smoking prevalence varied by Asian subgroup; smoking prevalence was higher among males than among femal es for Chinese and Koreans, but smoking prevalence was higher among females than among males for Japanese and other Asians. The average age of smoking onset was 12.9 years for Asians and 12.8 years for non-Asians. Age of smok ing onset differed among Asian-American subgroups but did not differ by gen der. In addition, smoking behaviors of the Asian respondents were significa ntly associated with their acculturation status. Conclusions: Asian-American youth have relatively lower smoking rates and l ater age of smoking onset than non-Asian youth in California. In addition, subgroups of Asian-American youth vary widely in their smoking behavior. Hi gh levels of acculturation among Asian-American youth are associated with h igher smoking prevalence rates and earlier age of smoking onset. Society fo r Adolescent Health, 1998 (C) Society for Adolescent Medicine, 1999.